| NPI | 1518222496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY KEITH MONTGOMERY Psychiatric Technician 801-587-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2012-07-07 |